Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $31.33 / $78.75	Facility		$5.86	$31.33	$78.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $4.11 / $6.05	Professional		$2.79	$4.11	$6.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.19 / $4.13	Professional		$2.76	$3.19	$4.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $11.10 / $293.00	Facility		$5.04	$11.10	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.62 / $11.53	Professional		$2.27	$3.62	$11.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $40.77 / $80.19	Facility		$11.59	$40.77	$80.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.07 / $8.99	Professional		$2.85	$4.07	$8.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $6.04 / $15.40	Facility		$3.19	$6.04	$15.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $5.41 / $7.80	Professional		$3.01	$5.41	$7.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.59 / $7.36	Professional		$3.01	$4.59	$7.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.59 / $10.02	Professional		$3.68	$4.59	$10.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $60.00 / $100.00	Facility		$50.00	$60.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.50 / $8.94	Professional		$4.13	$5.50	$8.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $5.52 / $13.15	Facility		$3.82	$5.52	$13.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.59 / $9.19	Professional		$3.01	$4.59	$9.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.59 / $6.44	Professional		$3.68	$4.59	$6.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.16 / $3.40	Facility		$2.06	$3.16	$3.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.76 / $8.88	Professional		$1.93	$2.76	$8.88